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Subject:  Re: OT: Career crisis Date:  10/15/2005  3:12 PM
Author:  xraymd Number:  212571 of 310772

Greetings, Chris, I'd hoped you would answer. The coding aspects for codes that recur are not the ones that cause difficulty. Here's what does:

On paper, the chief complaint and a portion of the HPI are written by the medical assistant at the time she takes and documents the vitals. Then I see the patient, ask a few more focused questions, write the answers swiftly, examine the patient, write my exam findings just as swiftly, write any rx's and prepare any forms for imaging and labwork and record point by point what my diagnoses are and what I am doing to treat and investigate. The minute I think it, I can write it. I have not been obliged to hunt up the ICD-9 code for my diagnoses. It's quick and I am done once it is on paper. Next patient up next, nothing left over from the first patient.

On the EMR, I must open the pat